The purpose of the amendment to Rule 59G-4.197 is to incorporate by reference the Florida Medicaid Medical Foster Care Services Coverage Policy, __________. The incorporated coverage policy will specify recipient eligibility, provider requirements, ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Medicaid

RULE NO.:RULE TITLE:

59G-4.197Medical Foster Care

PURPOSE AND EFFECT: The purpose of the amendment to Rule 59G-4.197, F.A.C. is to incorporate by reference the Florida Medicaid Medical Foster Care Services Coverage Policy, __________. The incorporated coverage policy will specify recipient eligibility, provider requirements, service coverage, and reimbursement information. The amendment also changes the name of the rule to Medical Foster Care Services.

SUBJECT AREA TO BE ADDRESSED: Medical Foster Care.

An additional area to be addressed during the workshop will be the potential regulatory impact Rule 59G-4.197, Florida Administrative Code, will have as provided for under sections 120.54 and 120.541, Florida Statutes.

RULEMAKING AUTHORITY: 409.919 FS.

LAW IMPLEMENTED: 409.902, 409.903, 409.905, 409.908, 409.912, 409.913 FS.

A RULE DEVELOPMENT WORKSHOP WILL BE HELD AT THE DATE, TIME AND PLACE SHOWN BELOW:

DATE AND TIME: November 30, 2015, 1:30 p.m. ‒ 2:30 p.m.

PLACE: Agency for Health Care Administration, 2727 Mahan Drive, Building 3, Conference Room D, Tallahassee, Florida 32308-5407

Pursuant to the provisions of the Americans with Disabilities Act, any person requiring special accommodations to participate in this workshop/meeting is asked to advise the agency at least 48 hours before the workshop/meeting by contacting: Lakera Reddick. If you are hearing or speech impaired, please contact the agency using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice).

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Lakera Reddick, Bureau of Medicaid Policy, 2727 Mahan Drive, Mail Stop 20, Tallahassee, Florida 32308-5407, telephone: [phone], e-mail: [e-mail].

Please note that a preliminary draft of the reference material, if available, will be posted prior to the workshop at http://ahca.myflorida.com/Medicaid/review/index.shtml. Comments will be received until 5:00 p.m., on December 1, 2015.

 

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

 

59G-4.197 Medical Foster Care Services.

(1) This rule applies to any person or entity prescribing or reviewing a request for medical foster care services and to all Medical Foster Care (MFC) providers of medical foster care services who are enrolled in or registered with the Florida Medicaid program.

(2) All persons or entities described in subsection (1) Medicaid-enrolled Medical Foster Care (MFC) providers must be in compliance with the provisions of the Florida Medicaid Medical Foster Care Services Coverage Policy and Limitations Handbook, _______ February 2007, incorporated by reference, and the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which is incorporated in Rule 59G-4.001, F.A.C. The policy is Both handbooks are available from the Florida Medicaid fiscal agent’s Web site website at http://portal.flmmis.com/flpublic http://floridamedicaid.acs-inc.com. Click on Provider Support, and then on Handbooks. Paper copies of the handbooks may be obtained by calling the Provider Enrollment at 1(800) 377-8216.

(3) The following form that is included in the Florida Medicaid Medical Foster Care Services Coverage and Limitations Handbook is incorporated by reference: Validation Level of Reimbursement Tool, AHCA-Med Serv Form 014, February 2007, Appendix A, two pages.

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.903, 409.905, 409.908, 409.912, 409.913 FS. History–New 2-22-00, Amended 3-6-01, 3-1-04, 8-15-07, _______.